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胫骨和股骨干骺端区域使用自张角钢板的骨合成生物力学研究(作者译)

[Biomechanical investigations of osteosynthesis at metaphys area of tibia and femur with selftensed angle plates (author's transl)].

作者信息

Diehl K, Harms J, Hort W, Mittelmeier H

出版信息

Arch Orthop Unfallchir. 1975 Sep 4;83(1):29-35. doi: 10.1007/BF00415978.

DOI:10.1007/BF00415978
PMID:1180761
Abstract

Straight pressure plates create an eccentric tension force as well as an osteosynthesis with angle pressure plates. Both kinds of plate incline to gape the osteosynthesis and/or fracture gap. Therefore an overbending or additional angle allowance is necessary. In our biomechanical investigations we showed that at average bone stability, an overbending of the angle respectively an additional angle allowance of 3 degrees is most favourable. Uniform distribution of power transmission can be achieved at the entire osteotomie level using large and small angle plates with appropriate plate thickness and plate tension force. Sufficient stability in mobilisation is guaranteed without additional cast fixation.

摘要

直形加压钢板会产生偏心拉力,同时与角形加压钢板一样具有骨接合作用。这两种钢板都倾向于使骨接合和/或骨折间隙增宽。因此,需要进行过度弯曲或额外的角度预留。在我们的生物力学研究中表明,在平均骨稳定性情况下,角度过度弯曲或额外预留3度角是最有利的。使用具有合适钢板厚度和钢板张力的大角度和小角度钢板,可在整个截骨水平实现动力传递的均匀分布。无需额外的石膏固定就能确保在活动时有足够的稳定性。

相似文献

1
[Biomechanical investigations of osteosynthesis at metaphys area of tibia and femur with selftensed angle plates (author's transl)].胫骨和股骨干骺端区域使用自张角钢板的骨合成生物力学研究(作者译)
Arch Orthop Unfallchir. 1975 Sep 4;83(1):29-35. doi: 10.1007/BF00415978.
2
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Unfallchirurgie. 1980;6(1):14-23. doi: 10.1007/BF02589445.
4
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本文引用的文献

1
Subtrochanteric osteotomy and spline fixation for certain disabilities of the hip joint; a preliminary report.转子下截骨术及骨栓固定治疗某些髋关节疾病;初步报告
J Bone Joint Surg Am. 1951 Apr;33-A(2):351-61; passim.
2
The effect of compression on the rate of fracture healing using a special plate.使用一种特殊钢板时,加压对骨折愈合速度的影响。
Am J Surg. 1958 May;95(5):761-71. doi: 10.1016/0002-9610(58)90625-1.
3
[Biomechanical calculations and investigations to the necessity of curved bending at the osteosynthesis with plates (author's transl)].
[钢板接骨术时弯曲必要性的生物力学计算与研究(作者译)]
Arch Orthop Unfallchir. 1974;80(3):247-56. doi: 10.1007/BF00416317.
4
[Biomechanical investigations of "curved bending" of osteosynthesis plates (with special reference to self-compressing pressure-plates) (author's transl)].接骨板“弯曲弯曲”的生物力学研究(特别提及自加压接骨板)(作者译)
Z Orthop Ihre Grenzgeb. 1974 Apr;112(2):314-21.